NPI 1366988495

Luminous Massage & Body Work

Organisation Preferred Provider Organization Vancouver, WA

Practice location

Address: 2006 Main St, Vancouver, WA 98660-2637
Phone: (360) 906-0826
Mailing address: 6000 NE 35th Cir, Vancouver, WA 98661-7229

Authorised official

Name: Marcey M Ivory
Title: Owner/ Massage Therapist
Phone: (720) 360-9451

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence MA60699064 (WA)

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Registry record

NPI: 1366988495
Entity type: Organization
NPI issued: 12 Jan 2017
Record last updated: 12 Jan 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.